Chesaning Family Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

16049 Issued in MI

Legal business name

CHESANING FAMILY DENTAL PC

Practice address

1109 W Broad Street
Chesaning, MI 48616

Phone

(989) 845-7242

Fax

(989) 845-7300

NPI assigned

Oct 23, 2006

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria L Henige

Title

Manger

Phone

(989) 845-7242

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fadi Jamal Matti, DMD

  • General Practice Dentistry
  • Chesaning, MI
  • NPI 1124846910
  NPD (past)
• Salman Rahmat Qureshi, DMD

  • Dentist
  • Chesaning, MI
  • NPI 1568101194
  NPD (past)
• Jerry John Skaryd, DDS

  • Dentist
  • Chesaning, MI
  • NPI 1831265842
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1821171992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W BROAD STREET",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "48616",
            "telephone_number": "989-845-7242",
            "fax_number": "989-845-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W BROAD STREET",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "48616",
            "telephone_number": "989-845-7242",
            "fax_number": "989-845-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESANING FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "HENIGE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "989-845-7242"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "16049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Cacy
• Rachel C Callahan
• Catherine a Tierney DC PC (chesaning chiropractic center)
• Central Pharmacy-Chesaning, LLC
• Chesaning Comfort Care (Comfort Care)
• Chesaning Rest Home Inc. (Chesaning Nursing Care Center)
• Chesaning RX LLC (Family rexall rx)
• Jeffrey Colon
• Spencer Ryan Copeland, DO
• David E. Duryea, O.D., P.C (Advanced Eyecare & Contact Lens Center)

• Dentist in Chesaning, MI
• Providers in Chesaning, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.